Dexmedetomidine and ketamine for fiberoptic intubation in a child with severe mandibular hypoplasia.
A 6-year-old girl with Treacher Collins syndrome presented for implantation of a hearing device. The patient was developmentally delayed and had severe micrognathia. After induction of anesthesia with dexmedetomidine and ketamine, the patient tolerated the introduction of a flexible fiberoptic bronchoscope without any change in respiration, and intubation was achieved easily.
Iravani
Mohamad
M
Department of Anesthesiology, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095-1778, USA. miravani@mednet.ucla.edu
Wald
Samuel H
SH
D000700:Analgesics; D000769:Anesthesia, Inhalation / Q000379:methods*; D002648:Child; D020927:Dexmedetomidine; D005260:Female; D005336:Fiber Optic Technology; D006310:Hearing Aids; D034381:Hearing Loss / Q000150:complications / Q000601:surgery*; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D007649:Ketamine; D008336:Mandibular Diseases / Q000150:complications / Q000601:surgery; D008342:Mandibulofacial Dysostosis / Q000150:complications*
D000700:Analgesics; D020927:Dexmedetomidine; D007649:Ketamine